Intentionality in reducing health disparities: Caring as connection

Public Health Nursing
Mary Anne Purtzer, Jenifer J Thomas

Abstract

Inadequate health care quality may contribute to Native American health disparities through racial/ethnic discrimination by health care professionals. Nursing approaches to relationships and caring offer a means to understand health disparities through an unconventional lens. The study objective was to examine health disparities within the context of patient/nurse relationships. A descriptive-qualitative method guided data collection and analysis. Eleven nurses who serve Native Americans were interviewed. They described attitudes, meaningful relationships, and nurse leadership. Nurses discussed their perceptions of and experiences with Native American patients. Four themes emerged: shared patient/nurse values, patient-centered care, external forces, and stereotype-driven care. Are we ready for the challenge to advocate for, build, and sustain organizational structures that support caring relationships? Implications for public health nursing include being intentional about recognizing implicit biases and ethnocentrism; examining nurses' complicit roles in perpetuating racism; and developing mechanisms to collectively advocate for improved Native American health.

References

Jul 13, 2002·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Madeleine Leininger
Apr 2, 2005·Nursing Science Quarterly·F Beryl Pilkington
Mar 3, 2007·Journal of Clinical Nursing·Deborah Finfgeld-Connett
May 5, 2007·The Journal of Nursing Administration·Valda V UpenieksMyha J Ngo
Dec 28, 2007·Nursing Administration Quarterly·Lisa C CarterDiane E Holland
Mar 14, 2008·Policy, Politics & Nursing Practice·Gloria R Smith
May 28, 2008·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Katherine Lancellotti
Nov 19, 2008·Journal of Immigrant and Minority Health·Megan-Jane Johnstone, Olga Kanitsaki
Jun 11, 2009·Creative Nursing·ChrysMarie Suby
Oct 10, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Thomas J Watson
Aug 16, 2011·Nurse Education Today·Janet M E Scammell, Gillian Olumide
Oct 16, 2012·Nursing Education Perspectives·Kimberly I Dudas
Feb 20, 2013·Nursing Outlook·Joanne M Hall, Becky Fields
Feb 20, 2014·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Marilyn K DouglasLarry Purnell
Oct 16, 2015·American Journal of Public Health·William J HallTamera Coyne-Beasley
Apr 12, 2016·Nursing Outlook·Maichou LorAudrey Tluczek
Jan 1, 2015·Nursing Education Perspectives·Connie DiazMary Wairimu Gatua
Sep 1, 2018·The Lancet Child & Adolescent Health· The Lancet Child Adolescent Health

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Citations

Sep 17, 2020·Public Health Nursing·Mary Anne Purtzer, Jenifer J Thomas

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